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General NPI Number Information
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NPI Number | 1013700079
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Entity Type | Organization
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Legal Business Name | THRIVE & SHINE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 971 US HIGHWAY 202 N STE 8081
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 908-545-9692
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Fax | 908-282-3465
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N STE 8081
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 908-545-9692
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Fax | 908-282-3465
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | JEFFREY THOMAS
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Credential | APN
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Telephone | 908-545-9692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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